在新发帕金森病中,功能与认知进展的关联
1Department of Neurology, Dalian Medical University, 9 West Section of Lushun South Road, Dalian City, Liaoning Province 116044 China; Department of Neurology, Qingdao Chengyang People's Hospital, 600 Changcheng Road, Qingdao City, Shandong Province 266109 China.
概括
在帕金森病 (PD) 中,功能会影响认知能力下降. 关键标志物如肌素和eGFR与PD患者的认知分数和痴呆风险有关.
科学领域:
- 神经学
- 肝脏病学
- 神经科学
背景情况:
- 慢性病 (CKD) 与认知能力下降有关,比一般人群更多.
- 对于帕金森病 (PD) 认知进展的功能参数的预测值尚不清楚.
研究的目的:
- 研究新发帕金森病患者的功能参数与认知能力之间的关联.
- 确定功能参数是否预测了PD患痴呆症的风险.
主要方法:
- 使用了来自帕金森进展标志物倡议 (PPMI) 数据库的612名新发病患者的数据.
- 使用多重线性回归,混合效应模型和考克斯回归分析来评估关联和风险.
- 检查的参数包括肌,BUN,BUN/Cr比率,eGFR,SUA和SUA/Cr比率.
主要成果:
- 肌素,BUN,BUN/ Cr和eGFR与全球认知分数 (MoCA) 有显著关联.
- 血清尿酸 (SUA) 和SUA/Cr比率与执行功能/工作记忆 (LNS) 缺陷相关.
- 在7. 26年的平均随访期内,较高的SUA/ Cr和eGFR预测了PD痴呆的发病率的增加.
结论:
- 功能参数与早期帕金森病的认知功能和痴呆风险有显著的关系.
- 这些发现表明功能在新发病患者的认知轨迹中起作用.
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